Routine inspection·May 24, 2024

On today's date 05/24/24 LPA conducted an unannounced 1 year required visit. LPA was greeted and entry by Caregiver Flordeiza Bonilla. The Administrator Ursula Carlos-and Licensee Rommel Carlos arrived shortly after. The facility is licensed to serve age range 60 and over, 6 non-ambulatory, of which 1 may be bedridden. Bedroom #5 (Master) is the designated room for a bedridden resident. The facility also has an approved hospice waiver for 6. There is currently one (1) resident that is receiving hospice services. Below are the observations made during today's inspection: LPA conducted a tour of the interior and exterior of the facility, the facility was observed to be clean, clutter and odor free. The facility is a single story home with 6 bedrooms, 1 of which is for caregiver's, office, 3 bathrooms, laundry room, garage, backyard and kitchen. There is a shaded patio with plenty of space for seating and to promote socialization. All staff present at the facility were observed to have obtained criminal record clearance and were associated to the facility. The emergency disaster drills are being conducted on a quarterly basis and the last drill was conducted on 4/30/24. The smoke and carbon monoxide detectors were tested and were found to be operable. The hot water was tested and found to be within regulatory limits measuring between 109.2-116.2 degrees F. The facility has a mitigation plan on file that was submitted on 3/21/21. There are no known guns or ammunition on the premises, nor are there any pools or bodies of water. The medications are locked inside a cabinet directly outside of bedroom #5. The medications were reviewed and are given according to the physician's instructions. The knives and other sharp objects are stored inside a locked drawer underneath the stove. The chemicals and other hazardous items are locked underneath the kitchen sink and inside a cabinet in the locked laundry room. The facility food supply met the requirement as there was a 2 day supply of perishable and a 7 day supply of non perishable food items observed. There is a refrigerator, and deep freezer in the garage as wel.l that was observed to be fully stocked. LPA conducted a review of all resident files all required documentation was present such as a medical assessment, admission's agreement and appraisal were observed. LPA conducted a review of 3 staff files and observed for the required documentation to be present such as application, and criminal record clearance. However the three of three staff files reviewed revealed that the Cardiopulmonary Resuscitation (CPR) expired on 10/28/23. LPA was informed that the class was taken but there was no proof available for LPA to review during the time of the visit, therefore a citation is being issued. LPA discussed conducting a review of facility personnel roster to ensure all staff are associated to the facility. In addition conducting a review of personnel files to ensure that all necessary documentation is present as well as current such as Identification . Based on today's inspection a citation will be issued on the attached 809D in accordance with the California Code of Regulations (Title 22, Division 6, Chapter 8). An exit interview was conducted and a copy of this report, appeal rights and LIC 9098-Proof of Corrections form was reviewed and provided to Rommel Carlos, Licensee.